NPI | 1922546399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT127985) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 501408) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2022-03-05 |